Helton Eye Care LLC
Helton Eye Care LLC was paid $546K by Medicaid between Aug 2020 and Nov 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoHELTON EYE CARE LLC
VERSAILLES, IN 47042
VERSAILLES, IN 47042
33aNPI1629690821assigned 05/11/2020
33bProvider typeOptometrist
28Total paid$546K
24GClaims12,553
24DCodes billed12
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#108 of 743
Median peer was paid$22K
This provider vs. median25×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 946 | $43K | |
| 2021 | 2,759 | $110K | |
| 2022 | 3,536 | $139K | |
| 2023 | 3,366 | $138K | |
| 2024incomplete | 1,946 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 1,567 | 1,474 | $165K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 1,610 | 1,443 | $137K |
| V2020 | Frames, purchases | 19% | 2,603 | 2,341 | $103K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.2% | 1,936 | 959 | $50K |
| 92015 | Determination of refractive state | 7.7% | 3,450 | 3,164 | $42K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.2% | 756 | 548 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 271 | 223 | $16K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 185 | 82 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 96 | 82 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 33 | 27 | $2K |
| V2201 | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 30 | 12 | $989.02 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 16 | 13 | $980.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHELTON, ANNA (OWNER)